Organization
TEXAS FAMILY DENTISTRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHERVIN AMINI (CREDENTIALING MANAGER)
(713) 465-8239
Entity
Organization
Contact information
Practice address
910 S WAYSIDE DR STE 300, HOUSTON, TX 77023-3417
(832) 433-7252
(832) 668-5447
Mailing address
1919 LAKE WINDS DR, MISSOURI CITY, TX 77459-1710
(832) 433-7252
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
07/28/2015
Last updated
08/05/2021
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